Individual
NICOLE BEAULIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
469 MIGEON AVE, TORRINGTON, CT 06790-4643
(860) 489-0931
Mailing address
187 LOVERS LN UNIT 75, TORRINGTON, CT 06790-4365
(860) 866-6285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9681
CT
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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